Family Planning

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Family planning is for women of child bearing age and men who are wanting to prevent a pregnancy or start a family.

Important to plan for a pregnancy ensures that a women and her partner are prepared mentally, physically, and emotionally to care for a child. You should receive a yearly physical exam to be sure your body is in good shape before you become pregnant.

Health Department offers basic fertility awareness counseling which would help you recognize the signs your body gives when you are most likely to become pregnant.

Medicaid and other insurance carriers will cover family planning services. The sliding fee is available based on income for those without insurance and to slide the cost of the contraceptive method.  Please bring documentation of household income to determine your charges on the sliding scale.  Appointments are available Monday through Friday.

Family Planning Exam

  • A complete physical related to the type of contraceptive you are choosing
  • HIV/STD testing
  • Pap smear if indicated
  • Counseling to help you decide on the most effective method of birth control
  • Education on healthy lifestyles, tobacco cessation, healthy weight, exercise, and nutrition
  • How to protect yourself from STDs
  • Condoms are available free of charge
  • Referrals to community resources as needed such as domestic violence center, WIC, substance abuse and Medicaid enrollment.

Pregnancy Tests

  • Pregnancy tests are offered through general clinic and do not require an appointment.
  • Nursing staff will provide information on the test results and can assist in making referrals for any needed services requested by the client.

Non- covered services

  • Family planning is only for contraceptive or pre-pregnancy health. Extra lab tests and medications not related to contraception are not covered.
  • Medicaid and Family Planning Waiver do not cover treatment for an illness as part of the family planning exam.
  • If you need a physical or treatment for the assessment of a chronic disease or injury, you will need to schedule an adult health appointment. Any labs or medications ordered will need to be paid on the day of service.

Birth Control  Methods  Abstinence (effective 100%)

  • Not having sex
  • Prevents STD/HIV
  • May not be realistic for some people

Intrauterine Device IUD (99%)

  • Offers protection for 3-10 years depending on type
  • Can be inserted on site at Health Department and during the postpartum visit
  • Reduces fear of a pregnancy
  • Does not prevent STD/HIV

Contraceptive Injection (perfect use 99%, typical 97%)        

  • Last for 3 months
  • Need to come to clinic every 11-12 weeks
  • Reduces menstrual cramps
  • May cause weigh gain
  • Does not prevent STD/HIV

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Birth Control Pills (perfect use 99%, typical 92%)

  • Lighter more regular periods
  • Reduces menstrual cramps
  • May reduce risk of ovarian cancer
  • Must take pill everyday at the same time each day
  • Missing pills increases the risk of pregnancy
  • Antibiotics will decrease the effectiveness of the pill
  • Does not prevent STD/HIV

The Patch (perfect use 99%, typical 92%)

  • Put on once a week
  • Comfortable and easy to use
  • Less effective in women who are overweight
  • Does not prevent STD/HIV

Condoms (perfect use 98%, typical 85%)

  • Reduces risk of STD/HIV
  • Put on before sex, new one each time
  • Remove carefully to prevent spilling
  • Free at the Health Department, available at local pharmacies
  • More effective with spermicide

Spermicide (perfect use 82%, typical use 71%)

  • Use before sex
  • Use each time have sex
  • More effective with condoms
  • Available at pharmacies
  • Does not prevent STD/HIV

Emergency Contraception (89%)

  • Prevents release of egg after having unprotected sex
  • Must take as soon as possible, within 5 days
  • Effectiveness decrease with each passing day
  • May obtain at pharmacy, need prescription if under 17 years of age
  • Not to be used as a long term method to prevent pregnancy
  • Does not prevent STD/HIV

Family Planning Waiver and Medicaid: There are opportunities to qualify for an insurance to cover your family planning and contraceptive needs.

Links:  

Contraceptive Method Facts: http://www.cdc.gov/reproductivehealth/

STD: Sexually Transmitted Diseases – CDC ; Sexually Transmitted Diseases(Spanish) – CDC

STD for Teens: Sexually Transmitted Diseases – Facts for Teens

Domestic Violence: www.sarahsrefuge.com

Apply for Medicaid and Family Planning Waiver: Go to www.duplincountync.com and click on Government offices, Department of Social Services